The Preferred Medication List is a guide for members with three-tier
prescription plans. Quarterly, pharmacists and medical professionals
review the list to ensure it includes safe, cost-effective medications and
reflects changes in the availability of certain drugs. Unless otherwise
indicated, the generic equivalents of brand-name drugs deleted continue
to be covered at the lowest copayment. They are safe, effective and
can save you money. Always ask your doctor or pharmacist if a
generic is available when you receive a prescription. Visit our
website for the complete Preferred Medication List.
Additions
Effective 03/25/05
Ancoban
Colazal
Geocillin
Miradon
Natacyn
Neggram
Proglycem
Santyl
Effective 04/08/05
Activella
Effective 05/01/05
Cymbalta
Effective 07/09/05
Aptivus
Effective 08/01/05
Enbrel
Kepivance
Soriatane
Ventavis
Effective 08/30/05
Avelox ABC Pack
Avelox IV
Clozapine
Protonix IV
Retrovir IV
Zyprexa
Effective 10/15/05
Aranesp*
Genotropin*
Lamisil
Norditropin*
Rebif*
Vytorin
Effective 11/01/05
Asmanex
Baraclude
Byetta
Geodon
Remicade*
Symlin
Deletions**
Effective 07/01/05
Anamantle HC
Depakene syrup and oral capsules
Duragesic
Mysoline
Orapred
Tegretol
Effective 04/01/06
Aclovate topical cream
Agrylin
Allegra
Alupent syrup, tablets & non-oral solution (aerosol remains)
Amaryl
Arava
Atrovent non-oral solution (aerosol remains)
Biaxin oral solution
Cleocin vaginal cream (vaginal suppository remains)
DDAVP oral tablets & nasal spray (injectable remains)
Elocon topical cream (lotion remains)
Intal ampule for nebulizer (aerosol remains)
Lamictal dispersible tablets
Oxycontin
Parlodel
Retrovir
